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Showing results for "managed".

61. 50-Multimodal-Analgesia-Facilitator (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
    June 01, 2023 - Slide 6 Ketamine and Dexmedetomidine The majority of perioperative pain can be reasonably managed … However, if pain remains poorly managed or patients present with a history of chronic opioid use, additional

62. Impguide2 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/impguide2.pdf
    September 08, 2015 - • Medicaid managed care organizations. … CMEs can be managed at the State or local level. … State Medicaid office and managed care organization. State Medicaid office. … Managed care organization (Colorado Access operating in Wyoming as Wyoming Access). … Medicaid managed care for special need populations: behavioral health as a “tracer condition.”

63. Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2022 Virtual Research Meeting Summary: Assessing Patient Experience for Insights into Enhancing Equity in Healthcare (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-virtual-research-meeting-summary_2022.pdf
    January 01, 2022 - Nguyen, Ph.D., Brown University Medicaid managed care enrollees who are members of racial and ethnic … In a recent study of nonelderly Medicaid managed care enrollees in thirty-seven states, researchers … Future research can also explore variations within Medicaid Managed Care plan disparities and identify … Racial and Ethnic Disparities in Patient Experience of Care Among Medicaid Managed Care Enrollees … Kevin Nguyen, Ph.D., Brown University Medicaid managed care enrollees who are members of racial and

64. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - Network Improve Care in Remote Areas Search All Impact Case Studies August 2005 A rural managed … AHRQ sponsored the Maine Rural Managed Care Center (RMCC), which was launched in 1994 in anticipation

65. Written Statement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-written-statement.pdf
    February 12, 2014 - February 12, 2014 IP Rights Statement Measure: Rate of Emergency Department Visit Use for Children Managed

66. PowerPoint Presentation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supln-slides.pdf
    January 24, 2024 - measures • Data sources – Primarily Medicaid/CHIP administrative data (enrollment and claims or managed … since 1996 41 SC Medicaid • Covers about 22-25% of population, 52% of all births • Majority Managed … Analysis – Program and Policy o Technical Assistance & Evaluation Support o Geo-spatial analysis o Managed … Medicaid Quality Indicators Initiative Medicaid Product Line Medicare Product Line HEDIS NCQA Managed … INDICATORS Agency Internal and External Supported Initiatives Hospital Association Triple Aim Managed

67. Using the Core Set of Quality Measures | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/childhealth/index.html
    March 01, 2019 - to CMS, some States are using the measures to produce performance reports for providers, families, managed … performance reports for families √     √ √   √ √   Produce performance reports for managed

68. Settings: Finding the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/talkingquality/distribute/placement/settings.html
    January 01, 2023 - People with well-managed chronic conditions may be both highly motivated and quite able to use quality … social service providers, public health facilities) to host free workshops to educate people about managed

69. Using the Core Set of Quality Measures for Children to Improve Children’s Health Care (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/childhealth/usingthecoresetofqm.pdf
    February 01, 2010 - addition, some States are using the measures to produce performance reports for providers, families, managed … to Improve Quality Produce performance reports for Providers X X X X X X X X Families X X X X X Managed

70. How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children? | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
    April 01, 2015 - We think it was a landmark document because it will [allow us to] compare the various Medicaid Managed … for the Alaska Medicaid Coordinated Care Initiative. a Florida Florida Medicaid is requiring managed … Illinois Illinois Medicaid is requiring managed care organizations and accountable care entities … b Accountable care entities are integrated delivery systems similar to managed care organizations. … Illinois’s inclusion of Child Core Set measures in its contracts with accountable care entities and managed

71. Title of Presentation: (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
    September 24, 2015 - improvement workgroups – Encouraged consistent quality reporting standards across programs – Required managed … With asthma will be managed effectively and control maximized Broad Focus on Quality • Simultaneously … demonstrating improvement David Kelley 30 30 Pennsylvania Medical Assistance • Mandatory managed … care • Over 1.1 million children covered by Medicaid • Managed Care Organizations reporting both

72. How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for children? Evaluation Highlight No. 11 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
    September 08, 2015 - We think it was a landmark document because it will [allow us to] compare the various Medicaid managed … example, Florida and Illinois are reporting measures for their State as a whole and for each Medicaid managed … Illinois • Illinois Medicaid is requiring managed care organizations and accountable care entities to … and utilization review program. bAccountable care entities are integrated delivery systems similar to managed … Illinois’s inclusion of Child Core Set measures in its contracts with accountable care entities and managed

73. Strategy 6K: Cultivating Cultural Competence | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
    March 01, 2020 - For example, Molina Healthcare, a Medicaid managed care organization, developed and aggressively marketed … Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care. … Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. … Health plan effects on patient assessments of Medicaid managed care among racial/ethnic minorities.

74. Primary Care Connection Prior to Emergency Department Visits for Children With Identifiable Asthma (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-136-fullreport.pdf
    July 01, 2018 - medications prior to incidence emergency department (ED) visits and/or hospitalizations for children being managed … which asthma was a primary or secondary diagnosis in children ages 2-21 who meet criteria for being managed … Among those who were sick enough to need the ED, their asthma was well managed prior to the visit or … For those whose asthma was not well managed, some will clearly have had system reasons for the lack … Consistency of care with national guidelines for children with asthma in managed care.

75. Reviewers | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldatapre.html
    May 01, 2018 - data (e.g., a multispecialty group practice) may provide that information to another entity (e.g., a managed … These included Cindy Ehnes and Hattie Hanley of the Department of Managed Health Care; Shelley Rouillard … and Ernesto Sanchez, Managed Risk Medical Insurance Board; David Carlisle, Candace Diamond, Serena Beltran … Sandra Perez and Ed Mendoza, California Office of the Patient Advocate; and Rita Marowitz, Medi-Cal Managed

76. Asthma Measure 1: Pediatric Emergency Department Use (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/technical-specifications.pdf
    March 03, 2021 - This measure estimates the rate of emergency department visits for children ages 3 – 21 who are being managed

77. Curriculum Guide (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/guide/train3.html
    September 01, 2020 - Health Literacy Among Medicare Enrollees in a Managed Care Organization. … The Impact of Low Health Literacy on the Medical Costs of Medicare Managed Care Enrollees.

78. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
    October 01, 2014 - Program Planning After discontinuing its full-risk Medicaid managed care program, Oklahoma significantly … care into additional counties, which were more rural, had low managed care penetration, and had little … To begin planning ACCESS Plus, Pennsylvania used lessons learned from its mandatory Medicaid managed … Members who choose to participate in voluntary managed care are disenrolled from ACCESS Plus. … Program Planning Rhode Island created its managed care program in response to a legislative mandate

79. What Factors Influence States’ Capacity to Report Children’s Health Care Quality Measures? A Multiple-Case Study (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-factors-influencing-state-reporting.pdf
    July 01, 2016 - States with high Medicaid managed care penetration— Oregon and Pennsylvania—reported measures using … Oregon produced the measures within its Medicaid agency, using encounter data that managed care plans … That experience prompted the state to require managed care plans to provide complete and accurate … care contracts to enable reporting of the Child Core Set Oregon’s Medicaid managed care plans have … American Journal of Managed Care, 13, 553–558.

80. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - A survey of managed care plans by the National Committee for Quality Assurance (NCQA) found that 60 percent … Yet, in its survey of managed care plans, the National Committee for Quality Assurance found that only … However, NCQA found that 30 percent of women age 52 to 69 in surveyed managed care plans had not received … A study of the use of hysterectomies in seven managed care plans found that 16 percent were unnecessary … recommended for diabetics, with over 50 percent of diabetics receiving annual eye exams in New England managed